Figure 12-13 Gastrojejunocolic fistula (A) is preferably treated by resection. Proximal colostomy (B) ameliorates most of the severe symptoms and is a reasonable temporizing measure. If resection is deemed too dangerous, exclusion bypass (C) is a reasonable alternative. (From Fromm, D.: Ulceration of the stomach and duodenum. In Gastrointestinal Surgery. New York, Churchill-Living-stone, 1985.)


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